FORM 1023-EZ for CRAZY MOUNTAIN DOG PARK

Field Data
EIN 35-2581646
Case Number EO-2017020-000355
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CRAZY MOUNTAIN DOG PARK
Organization’s Mailing Address PO BOX 119
City BIG TIMBER
State MT
ZIP 59011-0119
Accounting period End 12
Primary contact name TAMARA DERN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMARA DERN
COMMITTEE MEMBER
PO BOX 119
BIG TIMBER MT 59011-0119

Officer/Director/Trustee Two

NANCY BRUCE
COMMITTEE MEMBER
PO BOX 119
BIG TIMBER MT 59011-0119

Officer/Director/Trustee Three

MACKENZIE REISS
COMMITTEE MEMBER
PO BOX 119
BIG TIMBER MT 59011-0119

Organization’s website
Organization’s email CRAZYMOUNTAINDOGPARK@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/8/2016
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N32 - Parks and Playgrounds
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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